Active NPI
Kenneth David Rescott, P.T.
- Orthopedic Physical Therapist
- Auburn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 010567
- Practice address
- 37 W Garden St
Suite 103
Auburn, NY 13021-2662 - Phone
- (315) 252-8112
- NPI assigned
- Aug 16, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 010567 | NY | Primary |
Addresses
Primary practice location
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Mailing address
37 W Garden St
Suite 103
Auburn, NY 13021-2662
Phone (315) 252-8112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02226626 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Buffalo School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37 W Garden St
Suite 103
Auburn, NY 13021-2663
Phone (315) 253-3291
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010567 | NY | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Orthopedic | Current | Accepting new patients |
Locations
37 W Garden St
Ste 103
Auburn, NY 13021
Phone (315) 253-3100
285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073505087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-252-8112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W GARDEN ST",
"address_2": "SUITE 103",
"city": "AUBURN",
"state": "NY",
"postal_code": "130212662",
"telephone_number": "315-252-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESCOTT",
"first_name": "KENNETH",
"middle_name": "DAVID",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "010567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02226626",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.